MICAH TERA GROEBNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256874

License Status

NOT RENEWED

Business

First Name

MICAH

Middle

TERA

Last Name

GROEBNER

Business Name

MICAH TERA GROEBNER

Original Issue Date

03/20/2018

Effective Date

03/19/2019

Expiration Date

09/30/2020

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

01/08/2021